Individual provider Active NPI

Alisha R Wainwright, PA-C

  • Medical Physician Assistant
  • Wilkes Barre, PA
National Provider Identifier
1427484187
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA056478 Issued in PA
Practice address
1000 East Mountain Blvd.
Wilkes-Barre, PA 18711-3610
Phone
(570) 808-6020
NPI assigned
Sep 25, 2013
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA056478 PA
Medical Physician Assistant 363AM0700X MA056478 PA Primary

Addresses

Primary practice location

1000 East Mountain Blvd.
Wilkes-Barre, PA 18711-3610

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140108000178 PA Practitioner - Physician Assistant 1557599057 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

2401 Northampton St
Easton, PA 18045-2764

2545 Schoenersville Rd
Bethlehem, PA 18017-7300

2649 Schoenersville Rd
Suite 100
Bethlehem, PA 18017-7326
Phone (484) 884-8110

3780 Hecktown Rd
Easton, PA 18045-2355
Phone (610) 333-8888

3794 Hecktown Rd
Easton, PA 18045-2355

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince Apr 20, 2020 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2024 Accepting new patients
Good Shepherd Rehabilitation Hospital CurrentSince May 30, 2022 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Good Shepherd Rehabilitation Hospital CurrentSince May 30, 2022 Accepting new patients
Geisinger Clinic CurrentSince May 2, 2016 Accepting new patients
St Luke's Physician Group Inc CurrentSince Apr 1, 2019 Accepting new patients
Geisinger Clinic CurrentSince May 2, 2016 Accepting new patients
Tower Health Medical Group CurrentSince Apr 20, 2020 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2024 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

850 S 5th St
Allentown, PA 18103
Phone (610) 776-3278

100 N Academy Ave
Danville, PA 17822

2401 Northampton St
Ste 200
Easton, PA 18045
Phone (484) 591-7450

510 Brookmont Dr
Effort, PA 18330
Phone (610) 681-4070

315 Darby Sq
Elverson, PA 19520
Phone (610) 898-5240

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

1824 E 3rd St
Williamsport, PA 17701
Phone (570) 322-4422

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11391/brand/2/csg/21/fhir/r4

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1427484187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAST MOUNTAIN BLVD.",
            "city": "WILKES-BARRE",
            "state": "PA",
            "postal_code": "187113610",
            "telephone_number": "570-808-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINWRIGHT",
        "first_name": "ALISHA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056478",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.